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FRIDLEY
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Date � I_,�--��
Old Meter Number � ��
Old Meter Reading � ��
Replacement No. t
Replacement Reading �
Replacement Make '�
ERT# �� a1� �� �O
Replacement ERT#
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City of Fridfey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridtey and/or its
employees to do what is necessary to repiace the water meter. 1 understand tfiat the property owner
is liable far the warter line fram the main to the p�emise and afi interior piumbing. (Per City code
402.06) I also hold the City af Fridley and/its emptoyees harmless far any damages thaC may occur
whi{e doing tfiis operation. This to include,but not limited ta;valves,piping,walls,floors or the curb
stop box and service line, i understand 1 am also required to obtain a permit prior to any work,if
necessary. ����
Fina{meter readin o{d meter) `�' `✓ ��
8� �
Name• Address• ����'��r� - —
Phone Number• Date: f �� �----
Signature•
Wit�ess Signature:
FR{DLEY C11'Y CODE
CHAPTER 40Z.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
A02.05. PERMiT FEE
Prior to constructing or repair of any water or sewer tine connecting the existing municipal system and any hou5e
or building for which the apptication is made,the owner or cantractar sliall be required to obtain a perrr�it for such
conneeti�n,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shaN be notified. It sha41 be unlawfut to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectian.
402.06.REPAIRS AND MAINTENANCE TO CONNECTfON
After the initial connection has been made to the water service cu�b stop box or the sewer lead at the property
line or a water service orsewec lead hasbeen extended ta the praperty line for connection,the applicant,owner,
ar the octupant or user of such premises shalt be liable for af1 repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shalf be charged for the costs of the.
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by an administrative
po(icy. ft shati be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as witi ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191�
�
' Req uest N u m ber: 7309
Public Works Division
Service Request
Problem�kldress: 5885 Tennison Dr Requested By: Sandi Hara
Department: WATER Address: No address provided
Problemllssue: READ METER(WATER) Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED: Final reading. Closing 12/19/13 ERT#34277470
Created by: Wendy Hiatt Date Created: 2013-12-19
ACT10N TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
��v�`�3
Hiatt, Wendy
From: Hara, Sandra
Sent: Thursday, December 19, 2013 11:33 AM
To: Hiatt, Wendy
Subject: Final AMR reading needed
Hi
I have a final bill to do for a closing today at 5885 Tennison Dr. The ERT#is 34277470. When the guys have time to go
out. Thanks.
Sandi Hara
Utility Billing
_ 763-572-3530
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